KENNETH JAMES ERDMAN

PORTLAND, OR
NPI1699808931
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: OR  2989t)
Enumeration Date2007-03-14
Last Update Date2007-07-08
Business Address
-- KENNETH JAMES ERDMAN od
12300 SE 82ND AVE JCPENNEY OPTICAL
PORTLAND, OR 97266-7717
Phone number: 503-653-5935
Mailing Address
-- KENNETH JAMES ERDMAN od
5722 NW 203RD PL
PORTLAND, OR 97229-7187
Phone number:
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